Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Boston, MA: $84.37

Avg. Paid

$84.37

Range

$0.00 – $436.16

Total Claims

5,683,879

Providers

4,776

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Boston, MA

Provider	Avg. Paid	Claims	Patients
Katherine M Berg 330 Brookline Ave	$28.58	12	12
Prathima Nandivada 300 Longwood Ave	$38.94	12	12
Julia Xinzhe Lee 300 Longwood Ave	$157.82	12	12
Rachel L Rosen 300 Longwood Ave	$7.02	12	12
Cory Shamar Henderson 732 Harrison Ave Fl Preston3	$34.78	12	12
Jarrod Wallace Stein 243 Charles St	$17.69	12	12
Catherine Moore 15 Parkman St	$109.96	12	12
Peter Howard Stone 75 Francis St	$23.90	12	12
Carol Lee Wilkinson 300 Longwood Ave	$66.07	12	12
Nicole Lynn Kiley 840 Harrison Ave	$62.88	12	12
Simon George Talbot 75 Francis St	$24.10	12	12
Louisa Rose Chatroux 75 Francis St # Street	$0.00	12	12
Cherisse Michelle Kitner 55 Fruit St	$56.80	12	12
Anne A Wolf 300 Longwood Ave	$95.50	12	12
Benjamin Seth Wessler 800 Washington St	$38.43	12	12
David W. Van Norstrand Massachusetts General Hospital	$40.61	12	12
Susan E Kelly 110 Francis St	$30.31	12	12
Melissa Marie Videira 333 Longwood Ave	$4.14	12	12
John Alexander Zambrano 147 Milk St	$264.27	12	12
Yian Xiao 801 Massachusetts Avenue	$64.10	12	12
Ibiayi Dagogo-Jack 55 Fruit St	$43.72	12	12
William Gionfriddo 800 Washington St	$51.24	12	12
Stephen Brimer 800 Washington St	$53.83	12	12
Dennis S Poe 333 Longwood Ave	$51.31	12	12
Anna S. Liang 725 Albany Street, Suite 9A	$21.76	12	12
Da'Marcus E Baymon Massachusetts General Hospital	$57.04	12	12
Peter Chang 330 Brookline Ave # Rabb440	$40.81	12	12
Mamie K Cantor 830 Harrison Ave	$21.49	12	12
Mark Patrick Gorman 300 Longwood Ave	$135.06	12	12
Catherine C Chen 300 Longwood Ave Fegan 3	$58.00	12	12
Krystin Ojala 55 Fruit St	$25.67	12	12
Mohamed Adel Osman Taha 55 Fruit St	$95.95	12	12
Ron I Riesenburger 800 Washington Street Box 178	$27.37	12	12
Allan Steven Nadel 55 Fruit St	$16.81	12	12
Manish Paresh Mehta 55 Fruit St	$59.87	12	12
Kimberly Ann Wall Tufts Medical Center	$0.00	12	12
Rand Nashi 1 Boston Medical Ctr Pl	$29.77	12	12
Thomas Adam Abrams 44 Binney St	$11.44	12	12
Maryanne Makredes Senna 50 Staniford St	$42.94	12	12
Paul Mathew 800 Washington St	$32.40	12	12
Manisha Thakuria 221 Longwood Ave	$49.47	12	12
Young Bae Kim 800 Washington St	$29.37	12	12
Mark C. Wyers 110 Francis St	$23.67	12	12
Carolyn Ann Ward 750 Harrison Ave	$17.89	12	12
Sammantha Boaz 1601 Washington St	$101.67	12	12
Noyan A Gokce 732 Harrison Ave	$37.81	12	12
Lynn Janet Kepnes 45 Francis St	$33.40	12	12
Elizabeth Blume 300 Longwood Ave	$76.26	12	12
Karim Anis 75 Francis St	$80.39	12	12
Lucas Felipe Bastos Horta 725 Albany Street, Shapiro Primary Care	$93.15	12	12

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
99213	Office visit established mod	$43.18	764,306,590	487,602
99214	Office visit established mod-hi	$59.53	502,480,931	466,856
99212	Office visit established low	$41.69	92,299,154	127,462
99203	Office visit new moderate	$67.55	47,756,882	127,334
99211	Office visit established minor	$39.24	44,127,221	47,748
99204	Office visit new moderate-high	$92.03	32,379,031	111,937
99215	Office visit established high	$93.58	29,619,773	74,725
99202	Office visit new low	$58.57	9,372,712	35,486
99205	Office visit new high	$136.10	3,665,382	19,737
99244	Office consultation mod-high	$118.25	3,405,681	11,884
99243	Office consultation moderate	$78.55	2,585,480	8,432
99245	Office consultation high	$132.29	645,300	3,046
99242	Office consultation low	$58.27	483,445	1,980
99241	Office consultation brief	$66.15	295,664	712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Boston, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Boston, MA is $84.37 per claim, based on 5,683,879 claims from 4776 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Boston, MA?

There are 4776 Medicaid providers offering Office Visit related services in Boston, MA according to public payment data.

What is the price range for Office Visit in Boston, MA?

Medicaid reimbursement for Office Visit in Boston, MA ranges from $0.00 to $436.16 per claim, with an average of $84.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Boston, MA: $84.37

Providers Offering Office Visit in Boston, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Boston, MA

Blood Work & Lab Tests

Emergency Room Visit

X-Ray

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)

Psychiatric Evaluation

Vaccines & Immunizations

Case Management Services